Individual provider Active NPI

Asmeret Tewolde, NP

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1366095895
Registry record updated Aug 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN1012983 Issued in DC
Practice address
106 Irving St NW Ste 208
Washington, DC 20010-2993
Phone
(202) 722-6040
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN1012983 DC
Registered Nurse 163W00000X RN1 DC
Nurse Practitioner 363L00000X RN1012983 DC Primary

Addresses

Primary practice location

106 Irving St NW Ste 208
Washington, DC 20010-2993

Mailing address

524 Tuckerman St NW
Washington, DC 20011-1249
Phone (804) 319-0417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812000484 DC Practitioner - Nurse Practitioner 6709202484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1DCMDRegistered Nurse
RN1012983DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Heart Institute LLC CurrentSince Feb 1, 2023 Accepting new patients
Washington Hospital Center Corp CurrentSince Sep 23, 2021 Accepting new patients
Washington Hospital Center Corp CurrentSince Sep 23, 2021 Accepting new patients
National Capital Nephrology, PC CurrentSince Jul 13, 2020 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

106 Irving St NW
Ste 208
Washington, DC 20010
Phone (202) 291-4101

106 Irving St NW
Ste S419
Washington, DC 20010

1140 Varnum St NE
Ste 102
Washington, DC 20017
Phone (202) 636-3811

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

106 Irving St NW
Washington, DC 20010
Phone (202) 877-0275

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597449600000",
    "number": "1366095895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 TUCKERMAN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111249",
            "telephone_number": "804-319-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW STE 208",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102993",
            "telephone_number": "202-722-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWOLDE",
        "first_name": "ASMERET",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2020-08-15",
        "certification_date": "2020-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "RN1012983",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1012983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.